TAMMY SUE PENCE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010782

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

SUE

Last Name

PENCE

Business Name

TAMMY SUE PENCE

Original Issue Date

08/28/2003

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

BURNSVILLE

State

Zip

55306

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/04/2009